0009-138 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under "penalty of perjury that I am licensed under provisions. of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License. is'in full force and effect.
License # Lic. Class Exp. Date
B
Sigpature of Contractor AZZ
OWNER -BUILDER DECLARATION
I heieby affirmunder.penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: . . i. . .
1, as owner of the property, or my employees with' wages as their sole
compensation, will do the work,,and the structurb,is, not.intended or offered- for
sale (Sec. 7044, Business & Professionals Code).
1, as owner of the property, am exclusively contracting with license2d
contractors to- construct the project (Sec. 7044, Business, -& -'Professionals
Code).
I am exempf under Section B&P.G. for this, reason`
Date Signature of Owner
-WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of ,the following declarations:
I have and will maintain a certificate,of consent to self -insure for Workers!
Compensation, as provided for by Section 3700 of the Lkor. Code,' for the
perf?imance. of the work for which this permit is issued.
()� I have and will maintain workers' compensation insurance, as required iby
Section 3700 of the Labor Code, for the performance of 'the work for whicti.this
permit is issued. My workers' compensation insurance
ce carrier & policy y . no., are:
Cartier, Policy No.
MLDXO EA01Y. 'Owc 12237446
(This section need not be completed if the permit valuation is for $160.00 or less).
I certify that in the performance of the work for which this'permit is issued,
I shall not employ any person in any manner so as to becomei subject to the
workers'.compensation laws of California, and agree that if I should become
subje/ct to the workers' compensaiion"provisions of Siecti 16700 of the Labor
CV,ctle, I shall 4pjhwt,�, visions
pomply with th
=. .
Date: %plicant
Warning: F i ailure to secure Workers' Compensation coverage is. unlawful and
Shall subject an employer to criminal penalties and civil fines up to $100,000., in
addition to the'qost of -compensation, damages as provided for in Section.3706
of . the Labor Code, interest and attorney'Oees:
IMPORTANT Application.is hereby made to. the.Director of Building and Safety
for a permit subject to the' condition§,*'and restrictions set. forth on his
application. ation.
1. Each person upon whose behalf this application is made & each person,at
whose request and for whose benefit work is performed under or pursuant to
any permit issued -as a result of this applicaton agrees to, & shall, indemnify
& ' hold harmless the City of La Quinta, its officers, agents and employees.
2.,Ahy permit issued. as a result of this application becomes null and void if
work is not commenced within 180 daysfrom date of issuance of.such
permit, or cessation of work for 180 days will subject permit to cancellation'.
I certify that I have read this application and State that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives ^f this City to enter upon
the dbove-mentioned property for &inspecti2on, urpo es -'4 6 Date Signature (Owner/Agent)
0
BUILDING PERMIT PERMIT#
DATE - - VALUATION LOT TRACT
t,22
11/2, 24UM
U20C
JOB SITE
ADDRESS
APN
OWNER
CONTRACTOR DESIGNER ENGINEER
OUMOVE, CORIPORAllow
9UMOSE. COR-PORAnON
72.850 3011AMA4 FIIR�b'
-7 2 8 51, 0 3 C. A&MA PDAM)
11A,LM MISERT' V. -A .42260
PALM DEMM' CA 92260
1137
USE OF PERMIT
=,CffX.VAW-_LY.TY9=,W0'
SVID - PERMIT DOk% 340T fNCLUDE BLOCK WA1AJP0011SPtdDJUVZW�kY
A-PPROA,CH
TRACT CONSTRUCTION 21(14I5160 3F
0ARACIfYCARPORT (SF) 9,447.20
S 9T, WOOD FENCE 200.00 LF
'D 00hT OF C0N91:,RtTC1T0i9
122,245A*
PERMIT 111INSUAD"Ry
CONSTRUCTION PER JI 0 1 -0004) 8-000
Pwq CHECK Fry, 1.01-000-439-318
TAIC DEPOSIT 101.000-439-318 4250.00
1017000,421 -OW VS.."
BI. CTRiCAL 09F. 101-(1W-42,0-000 5179,75
PLUMSINO IM72 101 -000-419-000 m 16.,t
STROM MOTION FEE -'RESSII) 101.000- 41 r000 S1122 .
O.RADJN 0 F U37, $20.0
DEVELOPER IMIACTKE
PRECISE PLAN 101.,000-441'-345
MJBMWAL 001,191 -RUC 100 AND P, LAk'd =1
kD a -i's
4250.00
1DIT, NOW 1.0VA, Of 1130 W
152
3. L._U
RECEIPT
DATE
a 0
BY
DATE-F,INALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms 8 Footings
Ducts
Slab Grade
t
Return Air
Steel
Combustion Air
Roof Deck
17, - - 00
Exhaust Fans
O.K. to Wrap
Cao 7
F.A.U.
Framing
Compressor
Insulation
/ - p
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Latha,���
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Hacks
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
I all
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection . of
. (• o
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Building 5- - _ / O
erirtrx,��
P.O. BOX 1504 .
I / _ 78-495 CALLE TAMPICO
V
APPLICATION ONLY
t I- f!> C G LA QUINTA, CALIFORNIA 92253 ! 1-1 7
ownerI
Tu V,
L
Mailing A AV
Address b- j L p TZ j7f /4
CityZip Tel.
F4`r iE�5A 9i. _1 I ?�U-Zoo
Contractor
�vti RosE �a�r
Address
72--f-5-6
City,Zi Tel.
State Lic.City
& Classif. S3 3 4 70 ✓ Lic. m
Arch., Engr.,
Designer
Address Tel.
City (Zip ( State
Lic. N
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after. Improve, demolish, or repair any structure, prior to 'Its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant t0
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 70001 of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any appficant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
l'' 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7040, euisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
1 11, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044. Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
I am exempt under Sec. B. 8 P.C. for this reason
Date 'Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate o1
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3900, Labor Code.)
Policy No. Company
(l Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars fS 100) valuation
Of less.)
I certify that in the performance of the work for which this permit is Issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, alter making this Certificate or Exemption you should become
Subject to the Workers' Compensation provisions 01 the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that 1 have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -o1 this city to enter the above.
men Iioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, Stale, Zip
J
ILDING: TYPE'CONST. OCC. GRP._
I. Number-?—? 3 -ZZ. ,;, -- O d Q/Gt to
)al Description LOT /6 4 V2 Ln T 91-/< ZZ f—
Iject Description
AFD
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT
Plan Chk. Der
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line r ,
FINAL DATE INSPECTOR
Issued by: Date y. Permlt7l'4t,
Validated by:
Validation: -
WHITE = FINANCE YELLOW ='APPLICANT PINK = BUILDING DIVISION
Desert Sarids Unified School District
47-950 Dune Palms Road
Notice:La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
J '
Date 11/16/00 APN # 'N/A
No. 21224 Jurisdiction La Quinta
Owner NameMark Tuvell Permit #
No. 52-188 Street Avenida Velasco ' Log #
City La Quints r= E, zip 92253 Study Area
Tract # Lot # Square Footage 2046
Type of Development Single Family Residence No. of Units 1
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying `school fees at this time due to.the following reason:
y
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
2.05 X 2,046 or $ 4,194.30 the property listed above and thit building '
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued"
Fees Paid By C61st Bank -'Mark Tuvell Telephone' ,413-8291
.Name on the check,
By Dr. Doris Wilson'
Superintendent
rte., -: L`r,� t
Fee collected /exempted by Ellen Patino Payment Received -$4/,"1194.3 0,
Check No. 57061
Signature R
f
OTICE: Pursuant of Assembly Bill 3081 ,(CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
ovewill begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
llect them on -the Disbict('s)(s') behalf, whichever is earlier.
Collector: -Attach a copy of county or city plan check application form to district copy for. all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
Nov 17 00 01:54p RE/MAX Real Estate Consul (760) 836-1887 p.2
11'17/00 11:39 FAX 909 341. 5180— ORT TITLE 01002/004
t
RFC7R0 NB fiEQUESYEO > uyy JJ'.s"' of Doc iilentRrxmrdc--4
AND WHEN RECOME: MAOI To-
n • � : •1l.� I �Q d.. � � .. iYl� y
r'°' �•' . . ,,..�....•:'ill i Ij
• 'i
Mark P. Tovell
7695:1 Aorida Averaia
Palet Desert, CA 9221
'�..J•i •[:.fe:eL : �_�:,,iy"�+.�/�l:d wr�l!%IFIL ;I ,
... L.w'. .. .:ins -. .iww+.•S.�+f�•••7'wvM;•,'ti. �a.•ti•�..4,•r j ,.. ..
,
_� — — • �' — iNW' 9frdt fOrl grG9aoEa5 Uaf 79,11
pSErSoRIS PARCEL N0: 77:3•225.0091010 The undersigned Grantaits) declare that the DOCUMENT TBANSF1Nl TAX IS:
$ .4 Corm S City
TITLE ORDER NQ computed on the full value of the interest of property conveyed, or
y eeroptrted an ttte fa Yaks the value of liens or encumbrances remaining thereon
Esceovf mo-- 5967 -DS at the time of sale.
r�OR transfer is EXEMPT from tax for ttte following reason:
GRANT DEED
x
F0K A VALUABLE COftNGERATION, receipt of which is henry acknoruledged,
Mark F. Tuvall, a merried man as his son and. seep: rate property
hereby GRANTS) to Mark F. TuvelL a married 111111111:16 his sole and separate property
all thet-real property situated in the City o la Cruiats County of Riverside, State of C00frri8, de'scr ted as:
Tha South 1(2 of lot E aad Lot 10, Block i4, Saota Carat Pita at Vale La Ouinta, Unit #10, as per map recordeil in Book 18, pegs 70.0f Maps, ill the
oPue of the County Rri;ordei of Riverside County, California.
TIIIS DEED WLECT i PARCEL MEBgEfi ilk. 20f 10 _AS APPROVED BY THE CITY OF LA QUlgm(Fixhi bi is .A & B) "
0 ited Naveaker 6, 2000 1
S••ATE OF CAUf
cOUNTV aF � t v i'. C' S _+v
ok V' G�-Ov .befarolre__ �C:•rt P J4�.G�I�1 —
Natuy Nft. p[rsondf "Wed
t ernnAy known to Tne !it Proved t! o fee eR fia pila at Wirlai.toly dideGoel in be R.e pew*
ulur9fnJoeleb) iahre obs:ibed to the elionin insrrurnt rand adnowkded to tea that halhOfty
Ium and *a Rama in NO-,;1dk& eatheriM upaeryust and the by hisdse+)lbelr rfgl 1WW1Q on tbo
ioitrismt the psMnWi a Lha antkY udwl 119112,1 of At& ba perSOW acted, eaeoeted the
NPr Ess my hand and a'I eaeL .
Signature
MAIL TAX STATEW NTS TO: C
Mark F. Tuvell - 761195 Nocidii.Avtmtie, Palm Oeste:, CA 92211
4
fwiark F. Tagilf
i •
' p111U�ti 11111II%I III 1[t1117Nc111.1111i111.
e•
QW1e
a1f u111AU03 Ayy •� 7•
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` P1�38 3Nd10 '
. -IIu n11H u.1191 ni111[iu1116YI401.l.[n•
�„11111111 U�ll I.IIIBE„u1l.n;
DIANE SFOIN
Comm 11,4BD47
Notary Pub!►aCahttarnia>
o:,.n.e..� r- (this wn for ofHael naum seal)
[1 1 HI fill i111I Ir iI111l Ilee.Is
Y
Q
RC DISTRICT - PLANNING REVIEW FORM -
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT MARK TUVELL - SUNROSE CONSTRUCTION
SITE ADDRESS 52-188 Avenida Velasco
APN 773 - 225 - 009 BIN NO.:� CASE NO.: 2000-325
t/2 i
LEGAL: LOT 9 & . 10 BLOCK 225 . UNIT S.C.@V.L.Q.
CHECKED BY: Greg Trousciell DATE:
Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive
Secretary maintains a log book to track applications and assign case numbers.
REQUIRED ITEM
Y
N
COMMENT/CORRECTION
Compatibility Review,
Case logged and number assigned
Verify legal and APN information
mss -7
Consistent with MDG on file (as.applicable
MDG filing required (5 filings since 9/3/98)
Consistency with str%froundingar, a:
Colors
c p 6 �aterials
itecture
c
Other Requirements:
/J